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. 2019 Nov;16(4):671–687. doi: 10.20892/j.issn.2095-3941.2019.0228

1.

The clinical significance of Anxa2 in cancers

Tumor type Sample Sample size Expression Significance Reference
Breast cancer Tissue IDC* = 100
DCIS** = 20
Normal = 50
mRNA Upregulated in IDC
Lymph node invasion
6
Tissue n = 20 Protein Upregulated in cancer 7
Tissue n = 85 Protein Upregulated in invasive cancer
Advanced stage
High histological grade
High EGFR expression
Poor OS and DFS
8
Blood

Tissue
Cancer = 40
Normal = 40
n = 274
Protein Upregulated in cancer
High histological grade
High Ki-67 proliferation index
P53 overexpression
ER- subtype
TNBC subtype
9
Blood
Tissue
n = 36
n = 45
Protein Upregulated in HER2- cancer
TNBC subtype
10
Blood
Tissue
n = 101
n = 101
mRNA
Protein
Upregulated on CTCs***
Upregulated in tumor with EMT CTCs
ER- subtype
Bcl-2-
11
Gynecologic tumors
Ovarian cancer Tissue
Public database
n = 109
n = 1604
Protein
mRNA
Upregulated in cancer
Poor RFS and OS
14
Tissue n = 119 Protein Upregulated in cancer
Advanced FIGO stage
High histologic grade
Ascites
Malignant tumor cells in peritoneal fluid
Larger residual tumor size
High Ki-67 expression
Poor OS
15
Endometrial cancer Tissue Cancer = 84
Atypical hyperplasia = 30
Normal = 18
Protein Upregulated in cancer
Advanced FIGO stage
Poor differentiation
Myometrial invasion
Lymph node invasion
Poor OS
16
Tissue n = 53 Protein Upregulated in lymph node metastasis cases 17
Tissue n = 293 Protein Upregulated in recurrence cases
Upregulated in NEEC than EEC****
Poor RFS
18
Cervical cancer Tissue Cancer = 33
Normal = 17
Protein Upregulated in cancer 19
Tissue Cancer = 336
Normal = 46
Protein Upregulated in squamous cell carcinoma
Advanced stage
Larger tumor size Stromal invasion depth
Lymph node invasion
Parametrial involvement
Poor DFS and OS
20
Tissue n = 68 Protein Upregulated in post-chemotherapy tissue
Overexpression in tumor cells in chemotherapy non-response group
Stroma Overexpression correlates with poor PFS
21
Digestive system tumors
Pancreatic cancer Tissue Cancer = 21
Pancreatitis= 9
Normal = 10
Cancer = 51
Pancreatitis= 32
Normal = 30
mRNA



Protein
Upregulated mRNA level in cancer than in normal tissues (non-significant elevation than in pancreatitis)
Cell surface redistribution of Anxa2 protein from PanIN-1 lesions to cancer
22
Tissue n = 78 Protein Predominant cancer cell surface location
High expression with TNC overexpression in advanced stage, hematogenous and peritoneal recurrence cases
Poor DFS and OS
23
Tissue n = 56 Protein High stromal expression correlates with poor DFS and OS 24
Tissue n = 62 Protein Upregulated in cancer
Gemcitabine resistance
Poor DFS and OS
25
Gastric cancer Tissue n = 126 mRNA, protein Upregulated in cancer
Advanced stage
Lymph node metastasis
Distant metastasis
26
Tissue Cancer = 51
Normal = 24
Protein Upregulated in cancer
Advanced stage
Lager tumor size
Lymph node metastasis
Poor differentiation
27
Hepatocellular cancer Tissue Cancer = 34
Hepatitis = 39
Normal = 5
mRNA, protein Upregulated in cancer
(negative in normal, low expression in hepatitis, high expression in cancer)
Poor differentiation of tumor
28
Tissue



Blood
Cancer = 224
Adjacent normal tissues = 224
Cancer = 175
Hepatitis = 23
Cirrhosis = 51
Benign tumors = 19
Normal = 49
Protein Upregulated in cancer
Upregulated in serum of
HCC patients than in hepatitis, cirrhosis, benign tumors and healthy groups
Upregulated in serum in
AFP-negative HCC patients
30
Blood Cancer = 50
Chronic liver disease = 25
Normal = 15
Protein Upregulated in cancer than in chronic disease and normal groups 29
Tissue n = 105 Protein Poor RFS and OS 31
Colorectal cancer Tissue n = 105 Protein Histologic type
Lager tumor size
Invasion depth
Advanced stage
Poor OS
32
Tissue Primary cancer = 59
Liver metastasis = 8
Protein Upregulated in cancer
Marked increase in advanced tumor and metastatic lesions
33
Tissue LNM***** = 45
Non-LNM = 45
Protein Upregulated in lymph node metastasis cancer 34
Lung Cancer Tissue Cancer = 71
Normal = 20
Protein Upregulated in cancer
Advanced stage
Lymph node metastasis
Poor OS
35
Tissue

Public database
Cancer = 152
Normal = 36
n = 2437
Protein

mRNA
Upregulated in cancer
Advanced stage
DDP resistance
Poor OS
36
Tissue n = 36 Protein Upregulated in squamous carcinomas 37
Head and neck tumors
Glioma Tissue
Public database
n = 89
n = 710
Protein
mRNA
Upregulated in cancer
Overexpression in aggressive tumors
Poor PFS and OS
38
Tissue Cancer = 130
Normal = 15
mRNA Protein Upregulated in cancer
High histological grade
Poor OS
39
Tissue

Public database
Cancer = 99
Normal = 12
n = 923
mRNA Anxa2 and its pseudogene upregulated in cancer
Poor OS
41
Pediatric neuroblastoma Tissue n = 42 Protein Advanced stage
More chemotherapy cycles
Metastasis
Poor OS
42
Oral squamous cell carcinoma Saliva Cancer = 131
OPMD******= 233
Normal = 96
Protein Upregulated in cancer 44
Serum Cancer = 126
Benign disease = 115
Normal = 158
Protein Upregulated in cancer
Poor OS
45
Tissue n = 30 Protein Upregulated in cancer
Well differentiation
46
Tissue n = 106 Protein Larger tumor size
Less recurrence
Well differentiation
47
Laryngeal cancer Tissue Cancer = 209
Normal = 88
Protein Upregulated in cancer
Larger tumor size
Advanced stage
Lymph node metastasis
Distant metastasis
Poor OS
48
Nasophary-ngeal cancer Tissue Primary cancer = 48
Metastatic
Cancer = 13
Protein Metastasis
Poor OS
50
Genitourinary system tumors
Renal cancer Tissue n = 47
n = 13
mRNA
Protein
Upregulated in cancer 51
Tissue Primary cancer = 18
Primary cancer = 154
Metastatic tumor = 24
mRNA
Protein
Upregulated in cancer
Highly expressed in metastatic tumor
Advanced stage
Higher nuclear grade
Poor MFS
52
Bladder cancer Tissue n = 60 Protein Upregulated in cancer
Advanced stage
Higher expression in short term recurrence group
53
Prostate cancer Tissue Cancer = 85
Benign hyperplasia = 40
Protein Downregulated in cancer
Less metastasis
Early stage
Better OS
54
Tissue Cancer = 31
Benign hyperplasia = 12
Normal = 16
Protein Downregulated in cancer 55
Tissue n = 24 Protein High expression in relapse group 56
Tissue n = 87 Protein Re-expression in poorly differentiated adenocarcinoma 57
Hematologic tumors
Acute promyelocytic leukemia Blood
Bone marrow
n = 14 Protein Upregulated in APL 60
Acute myelogenous leukemia Blood n = 103 Protein Highest expression in M3 cells and downregulated after As2O3 treatment with hyperfibrinolysis reduction 61
Acute lymphoblastic leukemia Blood
Bone marrow
Prednisolone-resistant = 24
Prednisolone-sensitive = 19
mRNA Protein Higher expression and phosphorylation in prednisolone-resistant group 62
* IDC = invasive ductal cancer; ** DCIS = ductal carcinoma in situ; *** CTC = circulating tumor cells; **** EEC = endometrioid endometrial carcinomas; ***** LNM = lymph node metastasis; ****** OPMD = oral potentially malignant disorders.